Men present with sexual health problems in a variety of care environments and it is essential a detailed history is taken, whether in a dedicated clinic, general practice or accident and emergency department.
A physical examination will also be required. This article emphasises the important role of the nurse in caring for men who have or may have a sexually transmitted infection (STI).
Public health challenge
The latest data provided by the Health Protection Agency (HPA) reveal numbers of new cases of STIs in England fell slightly in 2010.1 The total number of new cases of STIs diagnosed in GUM clinics and in community based settings screening for chlamydia, dropped by 1 per cent in 2011 (424,782 to 418,598); other STI diagnoses were stable (219,906 to 220,049) over the same 12-month period.
The control of STI transmission in individuals, communities and the nation is a major public health challenge. Comprehensive intervention programmes targeted towards men and using approaches that will encourage them to adopt safer sex activities must not only aim to reduce the transmission of infection but also encourage early diagnosis and treatment of infected persons to reduce associated morbidity and mortality.
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